BMCH2015-02764.
78-495 CALLE TAMPICO D Q.�i
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
-property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O15-0276
51805 AVENIDA CORTEZ
773152015
HVAC CHANGE OUT 14 SEER 3.5 TON
$5,920.00
Applicant:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
✓c�Y G� oQ�:Pn�'?i'+
. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 985406
Date: fir_ Contractor:
OWNER -BUILDER DECLARA ON
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the.following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License law (Chapter 9 (commencing with Section 7000) of Divisi n 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for'the alleged exemption. Any violation of Section 7031.5 by any applicant f a .
permit subjects the applicant to a civil penalty of not more than five hundred doll rs
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(1 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( ) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/16/2015
Owner:
HOUSING AUTHORITY OF CITY OF
P 0 BOX 1504
LA QUINTA, CA 92253
Contractor:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
(760)771-2920
LIC. No.: 985406
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
- I have and will maintain workers' compensation insurance, as required by.
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:.
Carrier: Policy Number:_
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: L / Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPEN COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED,THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and.the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
D�te: / /b / Signature (Applicant or Agent):
FA1 1 • 1 •
F M .� Y" r yrfr s
' ira ACCOUNTQTY� &AMOUNT" '` PAID, PAID DATEi.
WYy yDESCRIPTIONt s
<.;� �r
INS i,sno
BSAS SB1473 FEE 101-0000-20306. •0 $1.00
$0.00
s;
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" °$
RECEIRTY#a��F
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�CHfECK #. BY'.,.
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Total Paid for BUILDING.STANDARDS. ADM IPgNISTRATION BSA '.$1.00 $0.00
,,;,.{$
4
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PAID'DATE;
xDESCRIPTION
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HVAC CHANGEOUT - SPLIT-SYSTEM-
101-000042402
0
$72.52.
$0.00
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DESCRIPTIONr
i,�
PAID DATE.
QTY�4AMOUNT�
,PAID?�;#
HVAC CHANGEOUT - SPLIT-SYSTEM PC'
101-0000-42600'
0
$36.2{g6
$0.00
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PAID BYE�u
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a
Total PaidforCHANGEOUT: $108.78 $0.,00,-
0:00 ,-
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s ACCOUNT"�x
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} PAID
,4 r�aw,";".ti`r/. .:-`u .5•:R%:
PAID:DATE
''
PERMIT ISSUANCE”
101-000042404''
0
$91.85
$0.00
1p Sv b i^a-zt!-
E� PAID BY�`,
,°`s 3.3 sem`. �.T4:i
METHOD 'RECEIPT#..>:.`::'.�
.., -..Rxa > "x✓; „
a : . ...�.
CHECK #
f CLTO BY
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Total Paid forPERMIT ISSUANCE:. $91.85 $0.00
Description: HVAC CHANGE OUT 14 SEER 3.5 TON
Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 7/16/2015 PJU
Approved:
Parcel No: 773152015 Site Address: 51805 AVENIDA CORTEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 29
Lot: 3
Issued:
UNIT 2
NAME TYPE
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $5,920.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
LA QUINTA
Details: HVAC CHANGE OUT 14 SEER 3.5 TON PER 2013 CMC
92248
CONTRACTOR
Printed: Thursday, July 16, 2015 12:45:24 PM 1 of 2 CJ?
SYSTEtitS
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME -
ADDRESSI
CONTACTS
CITY .
STATE
. , ZIP PHONE FAX EMAIL
APPLICANT
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA
CA
92248
CONTRACTOR
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA
CA
92248
OWNER
HOUSING AUTHORITY OF CITY OF
P 0 BOX 1504
LA QUINTA
CA
92253
Printed: Thursday, July 16, 2015 12:45:24 PM 1 of 2 CJ?
SYSTEtitS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
_.....____
MECHANICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:. $91.85 $0.00
TOTALS:0i
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
BOND INFORMATION
Printed: Thursday, July 16, 2015 12:45:24 PM 2 of 2. -R--SYSTEMS
Bin #
Qty of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S05
O V e—n &riezOwner's
Name: C i4kA OP L6QQ W NO—
A- P. Number:
Address:
Legal Description:
City, ST, Zip:
n 5�
Contractor: re en ' ` IC -A ` 1 e 0J,
(�.
Telephone:
Address: P10. L.�3 I
Project Description:
City, ST, Zip: L& Qwl i f a —1 ?D.q
C.4
Telephone-_ ( V
i`i.'-:v%.":•.'•ill`%vri'J`::::;fi`.
;::-�..: ;s>:>3.. .;: ;::;w...
»f:::::
State Lic. # :
City Lie. #•:L�
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
3
cy:
Construction Type: Occupancy:
New Add'n Alter air Demoo
Project (circle one): ep
Lie. #
Name of Contact Person: Brian icee n
Sq. FL: 14
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Pcrmit Fecs
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: City of La Quinta Date Prepared: 2015-07-15
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT-02 document for each dwelling unit.
03
Project Name
City of La Quinta
02
Date Prepared
2015-07-15
03
Project Location
51805 Avenida Cortez
04
Building Type
Single family
OS
CA City
La Quinta
06
Dwelling Unit Name
City of La Quinta
07
Zip Code
92253
08
Dwelling Unit Conditioned
1434
CInstallling I
Installing
�ilnstalling
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
01
02
03 _
4 04`.y�
OS 1 i
i O6 f
S 6 07))
i' 08 %
09
10
Is the SC'"'
' Installing a"
'#
SC System
SC System
CFA served
"systema.—.
refrigerant "'Installingnew'SC
CInstallling I
Installing
�ilnstalling
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
only system
complete house
1434
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-AO195015A-000000000-0000 Registration Date/Time: 2015-07-15 21:58:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 21:59:05
Schema Version:0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central split
Central split
All new
This field or
This field or
only system
HP
Fancoil AHU
HSPF
8.2
HP
cooling
SEER
14
Setback
section is not
section is not
components
applicable
applicable
Required Documentation:
MR -MCH -01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
MR -MCH -20-H & CF3R-MCH-20-H —Duct Leakage testing required when heating or cooling components are installed in ducted
systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: s 15%, or 5 100A leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3111-MCH-25-11 Refrigerant Charge Verification required when refrigerant containing components are installed
or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH 23 or Refri Brant Char a MECH 2S:;'
6' Y Y � 8 q 8 8
P
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20.Duct Leakage Testing requirements
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections 150.2(b)1Diia and-150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-AO19501SA-000000000-0000 Registration Date/Time: 2015-07-15 21:58:42 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 21:59:05
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Greenup, Brian
-Brian Cirecntip
Company:
Signature Date:
GREENUP AIR CONDITIONING AND HEATING
2015-07-15 21:58:42
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 7431
City/State/Zip:Phone:
LA QUINTA CA 92248
(760)625-6537
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: '
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of.the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building; or system design identified on this Certificate of Compliance conform to the
.design
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
nsistentwith
4. The building design features or system design features identified on this Certiicat f Compnance are the information provided on bthen pa plicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemenbpgency for approval with this buildlnPermit aPPhacano-
g
S. I will ensure that a registered copy of this Certificate of.Compliance shall 6e"made;available wfththe bull dingpermit(s) issued (or"the'buildtng, and.made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of tht Certificate of Compliance -is required to be. included with the,documen. tation,the,builder provides to,the building owner at occupancy.
Responsible Designer Name: �'°t.+. '✓€ �t +..'
Responsible Designer Signature:.++ �.
�rialt ;rcenutp
Greenup, Brian
Company:
Date Signed:
GREENUP AIR CONDITIONING AND HEATING
2015-07-15 21:58:42
Address:
License:
P 0 BOX 7431
985406
City/State/Zip:Phone:
LA QUINTA CA 92248
(760)625-6537
Digitally signed by CaICERTS. This digital signature is provided in order to secure
the content of this registered document, and
in noway implies Registration
Provider responsibility for the accuracy of the information.
Registration Number: 215-A0195015A-000000000-0000
Registration Date[Time:
2015-07-15 21:58:42
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2015-07-15 21:59:05
Schema Version: 0.555SDD